Health psychology lecture 1,2,3,4

• What is the Behaviour Change Wheel
• Behaviour chance wheel

  • Michie et al 2011
  • Developed as a result in variation of methods uses
  • Standardised intervention
• What are the 3 sections of the behaviour change wheel

  • COM-B
  • Intervention functions
  • Policy categories
• What is COM-B


  If you have capability and opportunity then that would motivate you to do that behaviour

  • Capacity
  • Motivation - Behaviour
  • Opportunity
• What are intervention functions 


  Things you can do to facilitate change

  • education
  • Persuasion
  • Incentives
  • Coercision
  • Training
  • Restriction
  • Environment restructuring
  • enablement
• What are the Policy categories of behaviour Change

  • Community marketing
  • Fiscal
  • Legislation
  • Environment / social planning
  • Service provision
• Protection Motivation Theory (PMT) - Rogers (1983)


  Developed as a framework for understanding fear appeal
• Meta analysis supporting PMT

  • Floyd et al. 2000
  • 65 studies
  • Significant effects found for all PMT components
  • Effect sizes for threat appraisal variable small - medium
  • effective sizes for coping appraisal - medium to large
  • Self efficacy had the largest effect size
  • Milne et al 2000 supported this
• Coping with Chronic Disease
• Coping with Chronic Disease (Swansea University)
• Scan to open on Studocu
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• Lecture 1: Social Health Determinants
• What Social Factors Influence Health?
• Lecture Structure:
• The link between wealth and health: Why the link between wealth and health...?
• Gender differences in health: Why the gender differences in health...?
• How would you intervene to address issues of poverty (Absolute and Relative)?
• How would you tackle health effects arising from issues associated with:
• Dangerous work settings
• Housing issues (poor housing, crowding)
• Stress of unemployment.
• Job demands which are stressful?
• Would it be more realistic to improve coping skills instead? Is this feasible?
• Poverty and Income – Gender
• Life Expectancy: Average time of equivalent full health in the top ten and bottom ten countries – WHO (2000).

  
• Male Life Expectancy 2009
• Female Life Expectancy 2009
• Countries with the worse life expectancy are mainly in sub-Saharan Africa.
• Countries with the best life expectancy are scattered around the world, with many in Europe.
• Overall, richer countries have longer-lived populations with more 'full health' years.
• Why such big differences in health between countries?
• Lack of safe water
• Poor sanitation:
• Alemu (2017): To what extent does access to improved sanitation explain the observed differences in infant mortality in Africa?
• Africa 1994-2013 using a fixed effect model?
• An increase of 1% in access to improved sanitation would reduce infant mortality by a rate of about two infant deaths per 1000 live births.
• Also confirmed that a significant decline in infant mortality rate was highly linked to improvements in education, health and sustainable economic growth.